Organization Active NPI

Crossroads Systems

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
National Provider Identifier
1811325301
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
CROSSROADS SYSTEMS
Doing business as
CROSSROADS RECOVERY SERVICES
Practice address
1364 S High St
Columbus, OH 43207-1042
Phone
(614) 445-0352
Fax
(614) 445-0121
NPI assigned
Oct 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy Shaun Jesse
Title
Ceo
Phone
(614) 445-0352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1364 S High St
Columbus, OH 43207-1042

Mailing address

1364 S High St
Columbus, OH 43207-1042
Phone (614) 445-0352

Other names 1

  • CROSSROADS RECOVERY SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

1364 S High St
Columbus, OH 43207
Phone (614) 445-0352

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1811325301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071042",
            "telephone_number": "614-445-0352",
            "fax_number": "614-445-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071042",
            "telephone_number": "614-445-0352",
            "fax_number": "614-445-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "JESSE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SHAUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-445-0352"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROSSROADS RECOVERY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.